Failure to Provide Individualized Activities Based on Resident Preferences
Penalty
Summary
The facility failed to provide individualized activities based on resident preferences for two of three sampled residents. One resident, who was cognitively intact and bedbound due to paraplegia, spina bifida, and morbid obesity, expressed a strong desire for reading materials, music, and outdoor access, but was unable to participate in activities due to the lack of a wheelchair and insufficient staff to assist with mobility. Documentation showed this resident did not participate in any group activities over a 73-day period and only received one-to-one activities on five occasions, with all other activities marked as independent. The resident reported feeling isolated and noted a lack of staff engagement in their room. Another cognitively intact resident with anxiety and depression also reported that none of the facility's activities were of interest. This resident's records indicated participation in only one group activity and two one-to-one activities over a 94-day period, with the remainder marked as independent. The activities director confirmed the lack of documented one-to-one activities and acknowledged that there were no activities available at night, which was when this resident was most active. Facility policy required the provision of individualized and in-room activities, but these were not consistently provided according to the residents' needs and preferences.